ArticleMaternal & child nutrition2015
'Sometimes they fail to keep their faith in us': community health worker perceptions of structural barriers to quality of care and community utilisation of services in Bangladesh.
Article in Maternal & child nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Multilevel determinants of community health workers for an effective maternal and child health programme in sub-Saharan Africa: a systematic review.BMJ global health · 2022Pooled it
- Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan.BMC public health · 2019Trial
- Formative research on a post-discharge monitoring program using SQ-LNS to reduce acute malnutrition relapse risk in Mali : a qualitative study.BMC public health · 2026Article
- The key role of Community Health Workers in the use of maternal services in rural settings: a Qualitative Study.Revista peruana de medicina experimental y salud publica · 2025Article
- Strengthening the role of community health workers in supporting the recovery of ill, undernourished children post hospital discharge: qualitative insights from key stakeholders in Bangladesh and Kenya.BMC health services research · 2021Review
- Best practices and opportunities for integrating nutrition specific into nutrition sensitive interventions in fragile contexts: a systematic review.BMC nutrition · 2021Article
- Success Factors for Community Health Workers in Implementing an Integrated Group-Based Child Development Intervention in Rural Bangladesh.International journal of environmental research and public health · 2021Article
- Mothers' Perspectives of Complementary Feeding Practices in an Urban Informal Settlement in Kisumu County, Western Kenya.Current developments in nutrition · 2021Article
- The community health worker as service extender, cultural broker and social change agent: a critical interpretive synthesis of roles, intent and accountability.BMJ global health · 2020Article
- Systematic review (protocol) of clinical effectiveness and models of care of low-resource pulmonary rehabilitation.NPJ primary care respiratory medicine · 2019Article
- Can community health workers manage uncomplicated severe acute malnutrition? A review of operational experiences in delivering severe acute malnutrition treatment through community health platforms.Maternal & child nutrition · 2019Review
- Integrating nutrition into health systems: What the evidence advocates.Maternal & child nutrition · 2019Review
- Integrated primary health care in low- and middle-income countries: a double challenge.BMC medical ethics · 2018Article
- Cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by community health workers compared to treatment provided at an outpatient facility in rural Mali.Human resources for health · 2018Article
- Article
- Barriers to access for severe acute malnutrition treatment services in Pakistan and Ethiopia: a comparative qualitative analysis.Public health nutrition · 2015Article
- Nutrition and nurture in infancy and childhood. Abstracts of the Fourth International Interdisciplinary Conference Organized by Maternal & Infant Nutrition & Nurture Unit (MAINN), School of Health, University of Central Lancashire. June 10-12, 2013. Cumbria, United Kingdom.Maternal & child nutrition · 2013Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Community health workers (CHWs) have strong potential to extend health and nutrition services to underserved populations. However, CHWs face complex challenges when working within weak health systems and among communities with limited abilities to access and utilise CHW services. It is crucial to understand these challenges to improve programme support mechanisms. This study describes the results of qualitative investigations into CHW perceptions of barriers to quality of care among two groups of workers implementing community case management of acute respiratory infection, diarrhoea and severe acute malnutrition in southern Bangladesh. We explored systemic barriers to service delivery, pertaining to communities and health systems, which limited the usefulness and effectiveness of CHW services. Focus group discussions (n = 10) were conducted in March 2010. Discussions were analysed for themes related to CHWs' work challenges. Findings highlight several perceived barriers to effective service provision, including community poverty constraining uptake of recommended practices, irregular supplies of medicine from the health facility and poor quality of care for CHW referrals sent there. This study further documents interactions between demand-side and supply-side constraints including the influence of health system resource constraints on community trust in CHW services, and the influence of community resource constraints on the utilisation and effectiveness of CHW services. By documenting service delivery challenges from the perspective of the frontline workers themselves, this article contributes evidence to help identify appropriate support mechanisms for these workers, in order to develop scalable and sustainable CHW programmes in countries with under-resourced public health care infrastructure.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.